WO2024090811A1 - Dispositif d'insertion de tube thoracique pour l'insertion d'un tube thoracique et l'injection de médicament, et kit comprenant celui-ci - Google Patents

Dispositif d'insertion de tube thoracique pour l'insertion d'un tube thoracique et l'injection de médicament, et kit comprenant celui-ci Download PDF

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Publication number
WO2024090811A1
WO2024090811A1 PCT/KR2023/014701 KR2023014701W WO2024090811A1 WO 2024090811 A1 WO2024090811 A1 WO 2024090811A1 KR 2023014701 W KR2023014701 W KR 2023014701W WO 2024090811 A1 WO2024090811 A1 WO 2024090811A1
Authority
WO
WIPO (PCT)
Prior art keywords
chest tube
chest
inserter
drug injection
tube inserter
Prior art date
Application number
PCT/KR2023/014701
Other languages
English (en)
Korean (ko)
Inventor
정우현
조석기
시베아트리체가혜
Original Assignee
서울대학교병원
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 서울대학교병원 filed Critical 서울대학교병원
Publication of WO2024090811A1 publication Critical patent/WO2024090811A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/04—Artificial pneumothorax apparatus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps

Definitions

  • the present invention relates to a chest tube inserter that facilitates chest tube insertion and allows injection of drugs to control pain at the chest tube insertion site, and a kit containing the same.
  • the chest tube is provided to penetrate the chest wall and penetrates the inside of the body. (chest tube) can be easily inserted without pain, and the drug injection part for pain control drug injection is connected.
  • a chest tube inserter and a chest tube inserter for drug injection and chest tube insertion that allows the drug to be easily delivered to the chest cavity where the kit is inserted This is about the kit included.
  • Chest tube insertion surgery which involves inserting a chest tube into the chest cavity, is one of the widely performed procedures. It is performed to remove air, blood, or pus that occurs inside the chest cavity.
  • Conventional chest tube insertion surgery involves making an incision in the chest wall of a certain size, holding the end of the chest tube with forceps, inserting it into the incision, and then opening the incision with forceps and inserting the chest tube into the thoracic cavity. It was carried out by pushing it inside.
  • chest tubes incorporating a dilator that widens the incision area to facilitate easy insertion of the chest tube have been used.
  • the current dilator has limitations in applicability because it is dependent on the diameter of the chest tube, and it still has no choice but to incise the chest and insert a chest tube based on the doctor's arbitrary judgment.
  • the air injection stopper for a thoracic catheter in the prior art literature can perform the function of guiding the catheter to be easily inserted, but during the air injection process, air leaks through the gap between the catheter and the chest, reducing air intake efficiency. Since the main purpose is to prevent injury, the initial incision of the ribcage must be made arbitrarily by the doctor, and there is a limitation in that there is a lack of consideration for inflammation occurring at the incision site or pain felt by the patient.
  • the present invention was developed to solve the above-mentioned problems. It stably inserts a chest tube into the thoracic cavity, minimizes the incision in the rib cage, reduces the patient's pain, and controls the pain caused by placing the chest tube at the incision site.
  • the purpose is to provide a chest tube inserter for drug injection and chest tube insertion that can continuously supply drugs and stably fix the chest tube to prevent it from moving, and a kit containing the same.
  • a chest tube inserter 100 for chest tube insertion and drug injection is provided to penetrate the chest wall to insert a chest tube.
  • the body portion 110 of the machine 100 is characterized in that an insert guide hole 120 is formed through the inside so that the chest tube T can be inserted.
  • the body portion 110 has an outer skin 112 formed to surround the inner skin 111 forming the insert guide hole 120, so that a drug receiving portion is formed between the inner skin 111 and the outer skin 112. (S) can be provided.
  • a drug injection portion 130 may be formed on the rear side of the body portion 110, and a drug discharge port 140 may be formed on the outer skin 112.
  • the inner skin 111 may be made of a soft material
  • the outer skin 112 may be made of a rigid material.
  • a suture wing 150 may be formed at the rear end of the body portion 110.
  • At least one fixing hole 151 may be formed in the sealing wing 150.
  • the kit (K) for chest tube insertion and drug injection is a chest tube ( T) a chest tube inserter (100) through which an insert guide hole (120) is formed to allow insertion; And a cutter 200 with a blade 210 formed on the front to cut the ribcage while being inserted into the insert guide hole 120 of the chest tube inserter 100.
  • it may further include a cover pad 300 attached to the skin to cover the inserted chest tube inserter 100.
  • a chest tube exposure hole 310 may be formed in the cover pad 300 at a position through which the chest tube T penetrates.
  • the chest tube inserter 100 for chest tube insertion and drug injection of the present invention the chest tube is incised to the minimum size to insert a flat body and then the chest tube is inserted through the insert guide hole, so that the chest tube is inserted into the chest cavity. It can be inserted stably and at the same time minimize the incision in the ribcage, thereby reducing the patient's pain.
  • the body part is formed in a double skin structure and a drug receiving part is provided, the drug can be effectively supplied to prevent inflammation at the incision site.
  • a suture wing is formed at the rear end of the body and is fixed to the skin with a suture, thereby stably fixing the body and the chest tube from moving.
  • the incision site can be formed accurately and uniformly by making an incision while the cutter with a blade formed on the front is inserted into the insert guide hole of the chest tube inserter.
  • the chest tube inserter is naturally moved and placed along the incision site, allowing the chest tube inserter to be inserted with minimal incision, thereby reducing patient pain. there is.
  • Figure 1 is a perspective view showing a chest tube insertion device according to an embodiment of the present invention.
  • Figure 2 is a cross-sectional view showing the use state of the chest tube insertion device according to an embodiment of the present invention.
  • Figure 3 is a longitudinal cross-sectional view showing the use state of the chest tube insertion device according to an embodiment of the present invention.
  • Figure 4 is a use state diagram showing a fixed state of the chest tube inserter according to various embodiments of the present invention.
  • Figure 5 is a perspective view showing the configuration of a kit according to an embodiment of the present invention.
  • Figure 6 is a cross-sectional view showing the process of cutting the chest using the cutter and chest tube inserter of the kit according to an embodiment of the present invention.
  • Figure 7 is a use state diagram showing a state in which a cover pad is attached according to an embodiment of the present invention.
  • Figure 8 is a conceptual diagram showing the processing process of the incision site in time series after removing the chest tube inserter of the present invention.
  • the present invention proposes that when performing chest tube insertion surgery, the chest tube inserter 100 is provided to penetrate the chest wall so that a chest tube (T) can be easily inserted into the chest cavity.
  • a chest tube T
  • an insert guide hole 120 is formed inside the body portion 110 and has the shape of a hollow tube.
  • 'posterior' is defined as the outer direction of the rib cage based on the direction in which the chest tube (T) is inserted, and 'anterior' is defined as the inner direction of the rib cage toward the thoracic cavity.
  • the body portion 110 preferably has a width (W) wider than the thickness (D) to facilitate insertion into the incision site and has an overall flat shape.
  • W width
  • D thickness
  • the chest tube inserter A chest tube (T) is inserted into the insert guide hole 120 of (100) and the end is located inside the thoracic cavity.
  • the flat body portion 110 can be effectively inserted through the incision formed in the transverse direction, and the chest tube T is inserted into the chest tube inserter 100 fixed to penetrate the chest cavity. In addition to stable insertion, it minimizes incisions in the ribcage during the process and prevents damage to surrounding tissues, reducing patient pain.
  • the body portion 110 has an overall double skin structure in which an outer skin 112 is formed to surround the inner skin 111 forming the insert guide hole 120, so that the inner A drug receiving portion (S) is provided between the skin 111 and the outer skin 112.
  • a drug injection portion 130 is formed on the rear side of the body portion 110, and a drug outlet 140 is formed on the outer skin 112 to continuously supply the drug to the drug receiving portion (S).
  • the drug injected into the drug receiving portion (S) is stably supplied to the incision site of the ribcage through the drug outlet 140 to control pain.
  • the inner skin 111 of the body portion 110 is preferably made of a soft material and is manufactured to be effectively deformed according to the amount of drug injected into the drug receiving portion (S), and the outer skin 112 is It is desirable that it be made of a rigid material so that its shape is not deformed by external force so that it can be moved stably during the process of insertion into the incision site.
  • a suture wing 150 is additionally formed at the rear end of the body portion 110, so that it can be fixed by suture while in contact with the skin adjacent to the patient's incision site. there is.
  • the suture wings 150 are preferably formed as a pair on the long side of the body portion 110 so that they can be stably fixed to the skin, and at least one fixing hole 151 is formed in the suture wings 150. It can be fixed by being sutured so that the suture passes through the fixing hole 151.
  • the fixing holes 151 are formed in plural, some of which are used to fix the suture wing 150 and the patient's skin, and some of which are used to secure the chest tube (T) to the suture wing ( 150), it can prevent the chest tube (T) from flowing and lead to stable fixation.
  • kit (K) including the chest tube inserter 100 for chest tube insertion and drug injection described above will be described.
  • Figure 5 shows the configuration of a kit according to an embodiment of the present invention.
  • the kit (K) of the present invention may include a chest tube inserter 100, a cutter 200, and a cover pad 300.
  • the cutter 200 has a tip-shaped blade 210 formed at the front, and as it moves forward, the tip of the blade 210 cuts the ribcage.
  • a guide body 220 may be formed at the rear of the blade 210 so that the cutter 200 can stably move along the insert guide hole 120 of the chest tube inserter 100.
  • Figure 6 shows the process of incising the rib cage by the cutter 200 that is inserted and moved in the chest tube inserter 100 of the kit (K) according to an embodiment of the present invention.
  • the chest tube inserter 100 Insert the cutter 200 into the insert guide hole 120 ((a) of Figure 6), and gradually move the cutter 200 forward ((b) of Figure 6). At this time, the cutting edge blade 210 of the cutter 200 moves forward while incising the ribcage, and the chest tube inserter 100 also moves forward along the incised area.
  • the cutting edge blade 210 of the cutter 200 is gradually moved forward to enter the inside of the ribcage.
  • a needle hole 230 is formed in the cutter 200 to penetrate the tip-shaped blade 210, so that the air or liquid inside the chest cavity is sucked into the syringe so that the blade 210 can easily enter the inside of the chest cavity.
  • the chest tube inserter 100 is also positioned to penetrate the ribcage. It is placed in position ((d) in Figure 6). At this time, it is desirable that the length L of the tip portion 211 is formed to a length that does not cause organ damage to ensure safety while inserting the chest tube inserter 100.
  • the cutter 200 formed with the blade 210 moves stably along the insert guide hole 120 of the chest tube inserter 100, so that the incision site can be accurately located. and can be formed uniformly.
  • the chest tube inserter 100 moves along the incision site, allowing the chest tube inserter 100 to be inserted with minimal incision, allowing the doctor to Uniform and accurate procedures are possible regardless of skill level, and patient pain can also be reduced.
  • the chest tube inserter 100 may be formed to naturally move forward along with the movement of the cutter 200.
  • the cutter 200 moves through the insert guide hole 120 of the chest tube inserter 100.
  • the chest tube inserter 100 can also be configured to move independently regardless of the movement of the cutter 200.
  • the kit (K) including the chest tube inserter of the present invention removes external contaminants by the cover pad 300 attached to the skin while the chest tube inserter 100 is inserted through the chest. It can be handled to prevent exposure.
  • the cover pad 300 functions to stably fix the chest tube inserter 100 and the chest tube (T) to the patient's body to prevent them from moving.
  • a chest tube exposure hole (310) is formed in the cover pad (300) at a position where the chest tube (T) passes through.
  • the process of removing the chest tube T is performed in the reverse order of the insertion process.
  • the chest tube (T) and cover pad 300 are sequentially removed.
  • the suture of the suture wing 150 exposed at the rear of the chest tube inserter 100 is removed, and the chest tube inserter 100 is pulled backward and removed.
  • Figure 8 is a conceptual diagram showing the process of processing the incision site in time series after removing the chest tube inserter 100 of the present invention.
  • the tape 400 Before removing the chest tube inserter 100 described above, first, with the tape 400 temporarily attached to one side ( Figure 8 (a)), the chest tube inserter 100 is removed ( Figure 8 (b) )), the tape 400 is completely attached to cover the incision area ((c) of Figure 8). Next, the upper part of the tape 400 is treated to close the incision using a suture or stapler ( Figure 8(d)).
  • the chest tube inserter for chest tube insertion and drug injection of the present invention and the kit containing the chest tube can be easily inserted without pain when inserting the chest tube through the rib cage, and the body is formed in a double skin structure to provide medication. Easy to inject.

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Surgery (AREA)
  • Hematology (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Pulmonology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

La présente invention concerne un dispositif d'insertion de tube thoracique pour l'insertion d'un tube thoracique et l'injection de médicament, et un kit comprenant celui-ci. À cette fin, le dispositif d'insertion de tube thoracique selon la présente invention passe à travers une paroi thoracique, et afin d'insérer un tube thoracique, un trou de guidage d'insert est formé pour pénétrer dans une partie corps du dispositif d'insertion de tube thoracique, de sorte que le tube thoracique peut être inséré. Par conséquent, le dispositif d'insertion de tube thoracique présente l'avantage de pouvoir insérer facilement le tube thoracique sans provoquer de douleur lors de l'insertion du tube thoracique à travers la paroi thoracique et présente également l'avantage de faciliter l'injection de médicament grâce à la formation de la partie corps en une structure à double peau.
PCT/KR2023/014701 2022-10-26 2023-09-25 Dispositif d'insertion de tube thoracique pour l'insertion d'un tube thoracique et l'injection de médicament, et kit comprenant celui-ci WO2024090811A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2022-0138936 2022-10-26
KR1020220138936A KR20240058316A (ko) 2022-10-26 2022-10-26 흉관 삽입과 약물 주입을 위한 흉관 삽입기 및 이를 포함한 키트

Publications (1)

Publication Number Publication Date
WO2024090811A1 true WO2024090811A1 (fr) 2024-05-02

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PCT/KR2023/014701 WO2024090811A1 (fr) 2022-10-26 2023-09-25 Dispositif d'insertion de tube thoracique pour l'insertion d'un tube thoracique et l'injection de médicament, et kit comprenant celui-ci

Country Status (2)

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KR (1) KR20240058316A (fr)
WO (1) WO2024090811A1 (fr)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR200353612Y1 (ko) * 2004-03-16 2004-06-18 이진명 일회용 흉관 튜브 소독 패드
KR101864315B1 (ko) * 2016-10-19 2018-06-05 서울대학교병원 긴장성 기흉용 기체 제거 장치
JP2018086168A (ja) * 2016-11-29 2018-06-07 国立大学法人千葉大学 トロッカー
JP2020114394A (ja) * 2014-04-23 2020-07-30 アプライド メディカル リソーシーズ コーポレイション 組織取り出しシステム及び方法
KR20220057048A (ko) * 2020-10-29 2022-05-09 김응석 흉부 카테터용 공기 주입 스토퍼

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR200353612Y1 (ko) * 2004-03-16 2004-06-18 이진명 일회용 흉관 튜브 소독 패드
JP2020114394A (ja) * 2014-04-23 2020-07-30 アプライド メディカル リソーシーズ コーポレイション 組織取り出しシステム及び方法
KR101864315B1 (ko) * 2016-10-19 2018-06-05 서울대학교병원 긴장성 기흉용 기체 제거 장치
JP2018086168A (ja) * 2016-11-29 2018-06-07 国立大学法人千葉大学 トロッカー
KR20220057048A (ko) * 2020-10-29 2022-05-09 김응석 흉부 카테터용 공기 주입 스토퍼

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KR20240058316A (ko) 2024-05-03

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